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23D MEDGRP-MOODY
NPI 1316907744
Clinic/Center - Military/U.S. Coast Guard Outpatient in Moody Afb, GA

Active since March 28, 2006
3278 MITCHELL BLVD, MOODY AFB, GA 31699(229) 257-3041(229) 257-5528 Get Directions Write a Review

NPPES record last updated: June 16, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 16, 2025, Jun 11, 2025 (2 updates tracked since 2025).

About 23d Medgrp-moody NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

23D MEDGRP-MOODY (NPI 1316907744) is a healthcare organization registered as a military/u.s. coast guard outpatient in Moody Afb, Georgia and active in the NPI registry since March 2006. The organization lists Jen Lewandowski, Air Force Ubo Analyst, as its authorized official.

NPPES Registry Identity

NPI1316907744
Entity TypeOrganization
Primary Taxonomy261QM1100X
Legal Business Name23D MEDGRP-MOODY
Location Address3278 MITCHELL BLVDMoody Afb, GA 31699-1500
Mailing Address3278 Mitchell BlvdMoody Afb, GA 31699-1500 · (229) 257-3041 · Fax (229) 257-5528
Phone(229) 257-3041
Fax(229) 257-5528
Organization SubpartYes
Authorized OfficialJen LewandowskiAir Force Ubo Analyst · (703) 817-4030
Enumeration DateMarch 28, 2006
Last NPPES UpdateJune 16, 20252 updates tracked since enumeration
NPPES CertifiedJune 16, 2025
✔ NPI 1316907744 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyClinic/Center · Military/U.S. Coast Guard OutpatientAmbulatory Health Care Facilities
Taxonomy Code261QM1100X
Definition
The Defense Health Program or U.S. Coast Guard funded fixed facilities or distinct parts of a facility, providing outpatient medical and dental services, primarily for Uniformed Services beneficiaries. A fixed facility is a non-temporary, non-deployed facility. It includes mobile specialty units such as Magnetic Resonance Imaging (MRI) units that may furnish services at the fixed facility. It includes, as examples, the institutional portion of outpatient encounters (except Ambulatory Procedure Visits), supplies issued (e.g., glasses, ostomy supplies, crutches), and radiology and laboratory studies. Does not include items issued directly to a patient from an outpatient pharmacy or patient transport.
Also ListedClinic/Center · Military and U.S. Coast Guard Ambulatory ProcedureTaxonomy 261QM1101X
Also ListedMilitary/U.S. Coast Guard PharmacyTaxonomy 332000000X
3278 MITCHELL BLVD, Moody Afb, GA 31699
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Other Names 1

Other NameMoody Afb Mtf

Other Identifiers 2

Other1689773350GA · Associated Pharmacy Npi
Other1142784GA · Ncpdp

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. MESHVA AKWALIA D.O.
Pediatrics
3278 MITCHELL BLVD
MOODY AFB, GA 31699
Lowndes County (229) 257-2778
DR. ADAM K FRY PT DPT
Physical Therapist
3278 MITCHELL BLVD
MOODY AFB, GA 31699
Lowndes County (229) 257-6364
DR. JAMES PIERCE PHARMD
Pharmacist
3278 MITCHELL BLVD, PHARMACY
MOODY AFB, GA 31699
Lowndes County (229) 257-2341
KONSTANTINE DIETRICH DDS
Dentist (General Practice)
3278 MITCHELL BLVD
MOODY AFB, GA 31699
Lowndes County (229) 257-2778
JONICA CARLTON BEST DO
General Practice
3278 MITCHELL BLVD
MOODY AFB, GA 31699
Lowndes County (229) 257-2778
JEREL E MERIDA JR.
Physician Assistant
3278 MITCHELL BLVD
MOODY AFB, GA 31699
Lowndes County (229) 257-2778
SAMUEL DEWAYNE OLDHAM PSYD
Psychologist (Clinical)
3278 MITCHELL BLVD
MOODY AFB, GA 31699
Lowndes County (229) 257-2778
DEBRA SIZEMORE MS, WHNP-BC, RNC-OB
Nurse Practitioner (Women's Health)
3278 MITCHELL BLVD
MOODY AFB, GA 31699
Lowndes County (671) 366-2460

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is 23D Medgrp-Moody's NPI number?

The NPI number for 23D Medgrp-Moody is 1316907744. It was assigned to this organization in the NPPES registry on March 28, 2006. The provider is also known as Moody AFB MTF.

Where is 23D Medgrp-Moody located?

23D Medgrp-Moody is located at 3278 Mitchell Blvd, Moody Afb, GA 31699. The listed phone number is (229) 257-3041.

What is 23D Medgrp-Moody's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Military/U.S. Coast Guard Outpatient, with taxonomy code 261QM1100X.

When was this NPI record last updated?

The NPPES record for 23D Medgrp-Moody was last updated on June 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.